Shop Application

Phone
This field is for validation purposes and should be left unchanged.
Name*
First Last
Date of Birth*
MM slash DD slash YYYY
Phone*
Email*
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Location:
Applying For Job:
Employment Records:
Applicants that desire to drive in intrastate/interstate commerce must provide the following information on all employers during the previous three years. You must give the same information for all employers you have driven a commercial motor vehicle for the seven years prior to the initial three years (total of ten years employment record)
Job 1
Last Employer Name Address Phone Position Held, Dates, and Salary Reason for leaving
Job 2
Last Employer Name Address Phone Position Held, Dates, and Salary Reason for leaving
Job 3
Last Employer Name Address Phone Position Held, Dates, and Salary Reason for leaving
Any gaps in employment and/or unemployment must be explained. Include dates (month/year) and reason.
Consent*
I agree to the privacy policy.
I authorize you to make investigations and inquiries to my personal, employment, financial or medical history and other related matters as may be necessary in arriving at an employment decision. (Generally, inquiries regarding medical history will be made only if and after a conditional offer of employment has been extended.) I hereby release employers, schools, health care providers and other persons from all liability in responding to inquiries and releasing information in connection with my application.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of Johns Disposal.

I understand that information I provide regarding current and/or previous employers may be used, and those employer(s) will be contacted, for the purpose of investigating my safety performance history as required by 49 CFR 391.23(d) and (e). I understand that I have the right to:

Review information provided by current/previous employers.

Have errors in the information corrected by previous employers and have those previous employers re- send the corrected information to the prospective employer.

Have a rebuttal statement attached to the alleged erroneous information, if the previous employer(s) and I cannot agree on the accuracy of the information.

I also understand that if I am employed, I will be required to provide satisfactory proof of identity and legal work authorization within three days of being hired. Failure to submit such proof within the required time shall result in immediate termination of employment.

I certify that I completed this application, and that all entries on it and information in it are true and complete to the best of my knowledge.
Consent*
I agree to the Safety Performance History Records Request
To release and forward the information requested by section 3 of this document concerning my Alcohol and Controlled Substances Testing records within the previous 3 years from my previous employers.
Attach PDF Application
Max. file size: 64 MB.

Applicants may attach a completed .PDF application – not required.
How did you hear about us?*
- WCTC Hiring Event
- Radio
- Social Media
- Word of Mouth
- Other
If Other, please specify:

Employment Records: